Is blood cardioplegia superior to crystalloid cardioplegia? | 合法醫療器材資訊網

由SJacob著作·2008·被引用112次—Thequestionaddressedwaswhetherbloodcardioplegiaisclinicallysuperiortocrystalloidcardioplegiaformyocardialprotection.Altogether501paperswere ...

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether blood cardioplegia is clinically superior to crystalloid cardioplegia for myocardial protection. Altogether 501 papers were identified. We selected 22 papers that represented the best evidence to answer the question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. This is a difficult topic to review, as the techniques studied in the many trials performed vary widely. Factors which may vary include warm or cold blood cardioplegia, antegrade and retrograde administration, systemic hypothermia or normothermia, topical heart cooling, high and low potassium solutions, hot shots, warm induction, volume of cardioplegia, patient factors and bypass times. However, three papers stand out. The meta-analy...